| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
661 |
650 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
158 |
158 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
145 |
145 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
785 |
784 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
70 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
401 |
396 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$3K |
| 90688 |
|
198 |
198 |
$2K |
| 90698 |
|
81 |
81 |
$980.95 |
| 90633 |
|
16 |
16 |
$294.40 |
| 80061 |
Lipid panel |
13 |
13 |
$225.42 |
| 83655 |
|
12 |
12 |
$221.16 |
| 90670 |
|
40 |
40 |
$202.40 |
| 96161 |
|
44 |
43 |
$183.48 |
| 90474 |
|
13 |
13 |
$117.52 |
| 3008F |
|
547 |
547 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 2014F |
|
101 |
101 |
$0.00 |